| Dr Peter J Ahn, MD | |
|
8700 Sudley Rd, Manassas, VA 20110-4418 | |
| (703) 369-8073 | |
| (703) 369-8032 |
| Full Name | Dr Peter J Ahn |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 8700 Sudley Rd, Manassas, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063455095 | NPI | - | NPPES |
| 1063455095 | Medicaid | VA | |
| 013953000 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 897862 (Maryland) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 0101245137 (Virginia) | Primary |
| Entity Name | Medstar Medical Group Ii Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184046187 PECOS PAC ID: 0547413825 Enrollment ID: O20130117000347 |
| Entity Name | Medstar Medical Group Radiology, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326450156 PECOS PAC ID: 1557589157 Enrollment ID: O20140822001847 |
| Entity Name | Medstar Medical Group - Southern Maryland Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831592211 PECOS PAC ID: 1355667056 Enrollment ID: O20150223001281 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Peter J Ahn, MD Po Box 9007, Charlottesville, VA 22906-9007 Ph: (434) 295-1000 | Dr Peter J Ahn, MD 8700 Sudley Rd, Manassas, VA 20110-4418 Ph: (703) 369-8073 |
Dr. Liisa L Laakso, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 8700 Sudley Rd, Manassas, VA 20110 Phone: 703-369-8073 Fax: 703-369-8032 | |
Michael B. Robins, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 8629 Sudley Rd, Suite 102, Manassas, VA 20110 Phone: 703-369-8341 Fax: 703-369-8423 | |
Dr. Brian T Fogarty, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 8700 Sudley Rd, Manassas, VA 20110 Phone: 703-369-8073 Fax: 703-369-8032 | |
Joshua C Pleasure, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 8700 Sudley Rd, Manassas, VA 20110 Phone: 703-369-8000 | |
Dr. Dalton R Daniel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 8700 Sudley Rd, Manassas, VA 20110 Phone: 703-369-8073 | |
Philip N. Massey, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 8629 Sudley Rd, Suite 102, Manassas, VA 20110 Phone: 703-361-3030 Fax: 703-361-2687 |